How DNA Repair Pathways Influence Cancer Cell Death After Radiotherapy
Table of Contents
- 1. How DNA Repair Pathways Influence Cancer Cell Death After Radiotherapy
- 2. The role of DNA Repair in Cancer Cell Death
- 3. Blocking Homologous Recombination to Boost Immunity
- 4. Implications for Cancer Treatment
- 5. A Six-Year Journey to breakthrough
- 6. Looking Ahead
- 7. What are the key differences in how homologous recombination and alternative DNA repair methods influence cancer cell death after radiotherapy?
Radiation therapy, a cornerstone of cancer treatment, has long been a subject of intense scientific scrutiny. Researchers have now uncovered a groundbreaking discovery: the way cancer cells die after radiotherapy depends on the DNA repair pathways they engage. This revelation, published in Nature cell Biology, sheds light on why some tumor cells evade immune detection while others trigger a robust immune response.
The role of DNA Repair in Cancer Cell Death
DNA repair mechanisms are essential for maintaining cellular health. However, in the context of radiotherapy, these same processes can dictate how cancer cells meet their end. Professor Tony Cesare, who lead the research, explains, “The surprising result of our research is that DNA repair, which normally protects healthy cells, determines how cancer cells die following radiotherapy.”
When radiation damages DNA, cancer cells attempt too repair it. One method, called homologous recombination, allows cells to survive the initial damage but ultimately leads to death during cell division, or mitosis. this type of cell death, however, goes unnoticed by the immune system. “This is not what we want,” says Prof. Cesare.
In contrast, when cancer cells use alternative DNA repair methods, they release byproducts that mimic a viral or bacterial infection. This triggers an immune response, alerting the body to the presence of cancer. “Which is what we do want,” Prof. Cesare adds.
Blocking Homologous Recombination to Boost Immunity
The research team discovered that blocking homologous recombination forces cancer cells to die in a way that activates the immune system. This finding is notably significant for cancers with BRCA2 mutations, a gene crucial for homologous recombination.Such cancers, when treated with radiotherapy, do not die during mitosis, making them prime candidates for combination therapies that enhance immune response.
“live imaging showed us the full complexity of outcomes following radiation therapy, allowing us to tease out exactly why this occurred,” Prof. Cesare notes, crediting advanced live cell microscope technology for these insights.
Implications for Cancer Treatment
These findings have profound implications for improving cancer treatment.By combining radiotherapy with drugs that block homologous recombination, clinicians can potentially force cancer cells to die in a manner that alerts the immune system. This approach could significantly enhance the efficacy of radiation therapy, particularly when paired with immunotherapy.
Associate Professor Harriet Gee, a co-lead on the project, emphasizes the clinical significance of this discovery. “We found that the manner in which tumour cells die after radiotherapy depends on the engagement of specific DNA repair pathways, particularly when radiation is given at very high, focused doses. This opens up new opportunities to enhance radiation efficacy through combination with other therapies,particularly immunotherapy,to increase cancer cures.”
A Six-Year Journey to breakthrough
The research, led by Dr. Radoslaw Szmyd, spanned six years and required immense perseverance. Prof. Cesare reflects on the team’s dedication: “The perseverance required for a project of this scope is a testament to Radek and the team. Everyone is aware of patients battling cancer. Discovering something like this that has the potential to make a big difference to people’s lives is very rewarding.”
Looking Ahead
This discovery not only solves a long-standing scientific puzzle but also paves the way for innovative cancer treatments. By leveraging the interplay between DNA repair pathways and immune response, researchers can develop more effective therapies that harness the body’s natural defenses to combat cancer.
Reference: Szmyd R, Casolin S, French L, et al. Homologous recombination promotes non-immunogenic mitotic cell death upon DNA damage.Nat Cell Biol. 2025. doi: 10.1038/s41556-024-01557-x
What are the key differences in how homologous recombination and alternative DNA repair methods influence cancer cell death after radiotherapy?
Interview with Professor Tony Cesare: How DNA Repair Pathways Influence Cancer Cell Death After Radiotherapy
By Archyde News editor
Archyde: Professor Cesare, thank you for joining us today. Your groundbreaking research on DNA repair pathways and their role in cancer cell death after radiotherapy has captured the attention of the scientific community.could you start by explaining why this revelation is so notable?
Professor Tony Cesare: Thank you for having me. This discovery is significant because it fundamentally changes how we understand the relationship between DNA repair and cancer cell death. Radiotherapy has been a cornerstone of cancer treatment for decades, but its effectiveness varies widely. we’ve long known that DNA repair mechanisms are critical for cell survival, but our research shows that these same mechanisms also dictate how cancer cells die after radiation. This has profound implications for improving radiotherapy outcomes and enhancing the immune system’s ability to target cancer.
Archyde: Your research highlights two distinct DNA repair pathways—homologous recombination and alternative methods. Can you explain how these pathways influence cancer cell death differently?
Professor Cesare: Absolutely.When radiation damages DNA, cancer cells activate repair pathways to survive. Homologous recombination is one of the most efficient repair mechanisms. It allows cells to repair double-strand breaks accurately, but this process can also enable cancer cells to survive the initial radiation damage. However,these cells often die later during mitosis,or cell division. The problem is that this type of cell death is “silent”—it doesn’t trigger an immune response, which means the immune system doesn’t recognise and attack the tumor.
Conversely, when cancer cells use alternative repair methods, such as non-homologous end joining or single-strand break repair, they frequently enough produce byproducts that mimic viral or bacterial infections.These byproducts act as danger signals, alerting the immune system to the presence of damaged cells. This triggers a robust immune response, which not only kills the cancer cells but also helps the immune system recognize and target othre tumor cells.
Archyde: That’s captivating. So, the choice of repair pathway essentially determines whether the immune system gets involved in fighting the cancer?
Professor Cesare: Exactly. The repair pathway a cancer cell chooses can make the difference between a tumor that evades immune detection and one that is effectively targeted by the immune system. This is why our findings are so exciting—they suggest that by manipulating DNA repair pathways, we could possibly enhance the immune response to radiotherapy and improve treatment outcomes.
Archyde: How might this discovery translate into clinical applications? Could we see new therapies that target these pathways?
Professor Cesare: That’s the goal. Our research opens up new avenues for developing combination therapies. such as, we could use drugs that inhibit homologous recombination, forcing cancer cells to rely on alternative repair methods that trigger an immune response.Alternatively, we could combine radiotherapy with immunotherapies that enhance the immune system’s ability to recognize and attack cancer cells.
We’re already seeing promising results in preclinical studies, and I’m hopeful that this approach will soon be tested in clinical trials. The ultimate aim is to make radiotherapy more effective and to harness the power of the immune system to fight cancer.
Archyde: This is truly groundbreaking. What challenges do you foresee in translating this research into real-world treatments?
Professor Cesare: One of the biggest challenges is ensuring that these therapies are both effective and safe. DNA repair mechanisms are essential for healthy cells as well, so we need to develop treatments that selectively target cancer cells without harming normal tissues. Additionally, tumors are highly heterogeneous, meaning that different cancer cells within the same tumor may use different repair pathways. This complexity requires personalized approaches to treatment, which can be challenging to implement on a large scale.
Archyde: what message would you like to share with patients and their families who are following this research?
Professor Cesare: I want to emphasize that this research represents a significant step forward in our understanding of cancer biology. While there is still much work to be done, these findings bring us closer to more effective and personalized cancer treatments. For patients and their families, this is a message of hope—that science is continually advancing, and new discoveries are paving the way for better outcomes.
Archyde: Thank you, Professor Cesare, for sharing your insights with us. Your work is truly inspiring, and we look forward to seeing how it transforms cancer treatment in the years to come.
Professor Cesare: Thank you. It’s been a pleasure.
End of Interview
This interview highlights the groundbreaking research of professor Tony Cesare and its potential to revolutionize cancer treatment by leveraging DNA repair pathways to enhance the effectiveness of radiotherapy and immune response. Stay tuned to Archyde for more updates on this exciting development in cancer research.